Fred Banuelos
NPI #1003671389 in Round Rock, Texas
Provider Information
- NPI Number
- 1003671389
- Entity Type
- Individual
- Name
- Fred Banuelos
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Feb 16, 2024
- Last Updated
- Feb 16, 2024
Practice Location
- Address
- 1250 S A W GRIMES BLVD
- City
- Round Rock
- State
- Texas
- ZIP Code
- 78664-2854
- Phone
- (512) 661-4387
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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